Healthcare Provider Details
I. General information
NPI: 1750001541
Provider Name (Legal Business Name): TRINA D SMITH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2022
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41865 POMEROY PIKE
POMEROY OH
45769-9473
US
IV. Provider business mailing address
PO BOX 188
CHILLICOTHEE OH
45601-0188
US
V. Phone/Fax
- Phone: 740-992-0540
- Fax: 740-773-4018
- Phone: 740-773-4366
- Fax: 740-773-4750
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: